Individual
DYLAN NICHOLAS BOEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 W 22ND ST, CHICO, CA 95928-7027
(530) 892-2592
Mailing address
212 W 22ND ST, CHICO, CA 95928-7027
(530) 892-2592
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 207588
CA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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